Individual provider Active NPI

Zwena McLeod-O'Donnell, MD

  • Pediatrics Physician
  • Annapolis, MD
National Provider Identifier
1134486624
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0080053 Issued in MD
Practice address
200 Forbes St Ste 200
Annapolis, MD 21401-1599
Phone
(410) 263-6363
Fax
(410) 263-7551
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D80053 MD
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X D0080053 MD Primary

Addresses

Primary practice location

200 Forbes St Ste 200
Annapolis, MD 21401-1599

Mailing address

200 Forbes St Ste 200
Annapolis, MD 21401-1599
Phone (410) 263-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729008786 MD Practitioner - Pediatric Medicine 5092964783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0080053MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 7, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Pediatrics CurrentSince Jul 7, 2015 Accepting new patients
Trusted Doctors LLC Pediatrics Past Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients
Trusted Doctors LLC Pediatrics PastSince Feb 25, 2024 Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

Interoperability endpoints

  • Direct secure messaging: zwena.mcleod@annapeds.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134486624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORBES ST STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011599",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011599",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD-O'DONNELL",
        "first_name": "ZWENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D80053",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0080053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.